小儿长期发热的病因探讨及误诊原因分析

Long-term Fever in Pediatric Patients: Analysis of Etiology and Misdiagnosis

目的:探讨小儿长期发热的病因,寻找尽早明确诊断的方法。方法:对符合长期发热诊断标准的231例患儿临床资料进行回顾性分析。结果:231例中明确病因198例,占85.7%,其中以感染性疾病、自身免疫性疾病、恶性肿瘤居前三位,33例经多方检查未明确原因,占14.3%。结论:详细询问病史,全面细致查体,合理选择医技检查,综合分析全部临床资料,可尽早明确长期发热的病因。

Objective:To investigate the causes of long-term fever in pediatric patients and to find out the measurements for confirming an early diagnosis. Methods:The clinical data of 231 patients with long-term fever were analyzed retrospectively.Results: Among these 231 cases,198 cases were clearly diagnosed with infectious diseases,connective tissue disease (CTD) and malignant tumors,accounting for 85.7%;33 cases (14.30%) were having unknown etiology after various diagnostic tests.Conclusions:A definite diagnosis would only be achieved by the following procedures:detailed case history collection,systematic examination,rational use of laboratory and accessory examinations and general analysis of all clinical data.